FILE 51183 / 9 9;-V I /P��r // �1 . Lot No.
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File No's—x'-ep- 3
Sanitary No.
Do to /j'�' 196
Application hereby made for n peo
a 3• 7P
to he occupied only asR-ACCC t
in accordance with Plot Plan, Plans and, tecification filed herewith,
Estimated Value of Improvements S .2 Oda d�
FEE$ d Plan Check $
Owner .(/ Address a 01-13 C
Contr. Address
Phone ` /'� 6 State License `�"�"�
Approved WILLIAM 0. BLNEvIr-w
„!9
APPLICATION FOR ELECTRICAL PERMIT
Date // 196^� FEE$ oZ a ��
/ .
Contr. r- �.C�--w^-/ Address
Phone "�S 2 -`r'S� State License Z X/ f 7
Approved F /
/rL
APPLICATION FOR PLUMBING & GAS PERMIT
J
Date 196 GAS FEE $ /
p PLUMBING FEE $
Contr. °L� ���"�✓ Address
Phone a `) `j—/ DO a State License
WILLIrsn1 v. •- ,vavlGH
Approved
APPLICATION FOR APPLIANCE PERMIT
Date �� / 196 X FEE$
Contr. Address
Phone 37 93 State License
Approved �-
Applicants agree not to violate any of the.
Workman's Compensation Laws of the
State of California
RECORD OF INSPECTION APPROVALS
BUILDING
FOUNDATION
DATE INSPECTOR
UNDERFLOOR
ryDATE INSPEtrT R
FRAME '- r
DATE INSPECTOR
LATH & PLASTER
DATE INSPECTOR
FINAL
DATE INSPECTOR
ELECT RICA
ELECT. SERVICE
yy D4 TE INSPECTOR
UNDERGROUND
DATE INSPECTOR
ROUGH WIRING �� ' ks
DATE INSPECTOR
FINISH WIRING
DATE INSPECTOR
FIXTURES ��-C29 i
DATE INSPECTOR
MOTORS
' _ 2 DATES INSPECTOR
11AL 7O - ( � 4w�
DATE INSPECTOR ,
PLUMBING & GAS
UNDERGROUND
DATE � JINSPE
EC TOR
PARTIAL ROUGH -L DECTOR
ROUGH COMPLETE /- 4DATE� ' ECTOR
MAIN DRAIN Z ^ DATECTOR
GAS PIPING D._ /y
DATE INSPECTOR
FINAL
DATE INSPECTOR
MISC
DATE INSPECTOR
MISC
DATE INSPECTOR
APPLIANCE
INSPECTED
DATE INSPECTOR
MISC
^.TE INSPECTOR
MISC
DATE j INSPECTOR
MISC I -
DATE } INSPECTOR
/WoQTp -J CSC�L�h� "t`4:;I LOT NO. /
O I STREET
CITY OF CUPERTINO
APPLICATION FOR APPLIANCE PERMIT
' W A
Permi,No. —' //-(z
L(
Date 19 17'y Fee S=()
Application is hereby made to the City of Cupertino for a permit to install gas
appliances as listed on the reverse side hereof, and agrees to install said appliances in
accordance with the provisions of the Plumbing Code of the City of Cupertino, and all,
other laws applicable thereto.
Use of /� �— Work To Be
Premises G _ Performed
Owner+ " Address
2/
Phones Address I
By
Phone
Stole License Approved
(' Plumbing Inspector
1, I AGREE I WILL NOT VIOLATE ANY F THE WORKMEN'S
1 COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
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No. STREET
W Z APPLICATION FOR BUILDING PERMIT
zp
r o PERT INO
o a A Sanitars• No.
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W 4 Uare e(�CC pp, 196�'pQCCQQ ermit No.
o Application is her +�adC.for �ierhtlNM
a _
i m a�1, storYType- Y"—' Building
` w ( ITY OF CUP TI
to be occupied only as In acc rdance with
0 o Plans, Specifications and Plot-Plan fi�e ierew+th. Pl Ck Fee Q 'r�
> m S �;� o!f Fee$
> ; Estimated Value of Improvements,
iJ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
J Z all other laws applicable to the construction, location, and use of buildings within the City of
j o Cupertino will bp Complied with. I
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a1 Address3G
W
a gy , Address
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a U Phone
t7 Arov d
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i WING INSPECTOR
State License--